Anthony Tucker, MD | |
1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 | |
(321) 312-4580 | |
(321) 914-4053 |
Full Name | Anthony Tucker |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1840 Eldron Blvd Se Ste 1, Palm Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356421366 | NPI | - | NPPES |
02585871 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 171620 (New York) | Secondary |
207P00000X | Emergency Medicine | ME120268 (Florida) | Primary |
Entity Name | Solantic/south Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
Entity Name | Solantic Of Jacksonville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
Entity Name | Hma-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
Entity Name | Shands-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
Entity Name | Restore Health Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609240779 PECOS PAC ID: 4688972896 Enrollment ID: O20160420002026 |
Mailing Address | Practice Location Address |
---|---|
Anthony Tucker, MD 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 Ph: (321) 312-4580 | Anthony Tucker, MD 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 Ph: (321) 312-4580 |
John Koehler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909 Phone: 321-312-4580 Fax: 321-914-4053 | |
Dr. David Williams, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 490 Centre Lake Dr Ne, Suite 200, Palm Bay, FL 32907 Phone: 800-476-8646 Fax: 919-382-3210 |